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Individual
DR. JONATHAN VAL C. FAGEL
Active
Individual
DR. JONATHAN VAL C. FAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10210800
NJ
207Q00000X
Family Medicine Physician
H0080015
MD
Other
Enumeration date
10/31/2013
Last updated
06/16/2021
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